X12 Utility
Model C1D0U497 64 bit
Model C1D0N497 32 bit
Standard License
Copyright (c)1992-2014 Com1 Software Development
Com1 Software, Inc.
P.O. Box 482
Hudson, Ohio 44236
(330) 653-3771
Website: http://com1software.com
Email: information@com1software.com
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This computer program is protected by copyright law and
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in severe civil or criminal penalties, and will be prosecuted
under the maximum extent possible under the law.
This program and all support programs and documents are
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implied warranties of merchantability and fitness for a
particular purpose.
In no event shall Com1 Software, Inc. or Com1 Software
Development be liable for any damages arising out of the
use or inability to use this program, support programs or
documentation. All prices and other information is subject
to change without notice.
This program and support documents are for trial and
demonstration purposes. Any other use is strictly prohibited.

The X12 Utility can be used in two basic ways.
The first use for the X12 Utility is as a file reader that can format
and export x12 files into other formats like XML or CSV.
The second use for the X12 Utility is as an analytic and tracking tool
for your x12 files. 837 and 835 X12 files in a directory can be scanned
into the X12 Utilities database. Once your x12 files have been scanned you
can locate claims by patient/subscriber name or by claim number. A listing of
totals by date can be generated as well as an export to CSV of the database.
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The X12 Utility will handle transactions that it recognizes
automatically and displays the data for that format in a
manner that is appropriate for that individual transaction
type.
The supported transaction types are:
270 Eligibility Inquiry
271 Eligibility Response
837 Health Care Claims
276 Claim Status Inquiry
277 Claim Status
835 Remittance Advice
997 Functional Acknowledgement
864 Informational Report
Data can also be displayed and printed in a formatted raw data
dump of the x12 transaction it self.
A file can be loaded into the X12 Utility either by:
- Selecting the file through the menu of the program.
Once a particular file has been loaded by the Utility, it will display
the appropriate screen for the transaction set.
If a file contains multiple X12 batches within it, that is
to say that there are multiple ISA's within a single file, the X12
Utility will ask the user, which batch to select.
If a batch contains multiple transaction sets or groups, the user
will be asked which set they wish to view.
- 837 Health Care Claim
When an 837 Health Care Claim file is loaded into the Utility, the
View X12 837 selection screen is displayed. Data within the
transaction set is displayed using the name of the subscriber,
the amount of the claim, and the ID of the subscriber.
Within this screen the user has the option selecting one of the claims
within the list for additional detail, listing the data to a printer,
viewing the data in segment form, and loading a 997 on top of the
already loaded 837 file.
The Listing button will preview before print a listing that is similar
to that of the View X12 837 screen.
The Select button is used to select the highlighted claim in the claim
list. Once selected, the Claim Data screen is displayed. This screen
will display, in a dynamic list, any supported claim elements that
it can detect and identify. Print a form of this screen and Exits
are options.
Data detail displayed in this screen are the Subscriber, Patient
demographic information, Claim Totals, Referring and Rendering Physician
Data, and Individual Service line Data.
Once a 997 has been loaded on top of its appropriate 837, the View Data
can be used to look at the data in a segment format with any errors
in the 837 being identified by a * or ** to the left of the segments
data,indicating an error in association with that particular line.
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To use the X12 Utility to help you track and locate claims data.
Click on the SCAN button and the 837 and 835 X12 files
in the specified directory and will be read and indexed
into the X12 Utilities database.
Once the process of scanning has been completed,
you can go to Locate and search for claims by either subscriber
using last name, first name middle initial or by claim ID.
Partial searches work with locate by subscriber name.
The claim can be selected for viewing in formated fashion as well
as by raw data segments.
- - - -
To create a custom map for the fields you would like to
export, load the x12 file that you will be mapping to into
the viewing portion of the utility.
Once the data has been displayed there will be an EXPORT button
available on the screen.
Select the EXPORT, and then select export type.
The export screen will be displayed with a basic list of available
fields for export.
When you hit the SAVE button a mapping configuration file is created.
The type of X12 file you are working with will determine the name of the
configuration file.
C1837I.XML Institutional 837
C1837P.XML Professional 837
C1837D.XML Dental 837
C1835.XML Remittance 835
These configuration files can be modified using notepad.